PatientInfo

Is child enrolled in school

No

Intervention plan

IDP 2/week + PMt 1/week

Consanguinity

No

Neck holding

Achieved

Food preferences

Mixed

HR

Neuropsychiatric condition

No

Place of Birth

Institutional

Hospitalization

Yes

Tactile

PatientId

c4232fa5-ee67-49fd-ada0-d79dbd3b81e8

FollowUpId

00000000-0000-0000-0000-000000000000

Child's Name

Tejas Dubey

Age

2 Year 11 Month 13 Days

Gender

Male

DOB

2023-07-27

Mother’s age (years)

30 years

Mother’s education

Mother’s occupation

homemaker

Father’s age (years)

36 years

Father’s education

Father’s occupation

Social worker

Type of family

Nuclear

Number of family members

Number of siblings

1

Details of siblings (Age and sex)

9 year old female

Address

Morar

Contact

8120000046

Referred By

Doctor

Informant

Parents

Chief concerns

Speech delay

Duration of symptoms

Concerns noticed by school (if any)

Strengths of child

Eye contact

Suboptimal

Interaction

Quality of Interaction

limited

Repetitive behaviors (RRBs)

If yes- Details

stimming

Patterned behavior or activities

If yes- Details

Others

Details:

Obsessed with ABCD, arranges in object

Impression

? ASD

Hopes from the consultation